Insomnia and its treatment. When are hypnotics justified?

abstract：:With use of the International Normalized Ratio (INR), physicians can accurately assess the intensity of anticoagulation in treatment programs and trials. Bleeding is the major complication of oral anticoagulant therapy, and its incidence can be lessened, with no loss of efficacy, by using less intense therapy (INR, 2 ...

journal_title：Postgraduate medicine

authors： Brigden ML

更新日期：1995-09-01 00:00:00

abstract：:External otitis is directly related to patient habit patterns. It is easily treated, but the habits must be changed to effect permanent cure. Serous otitis media is the most common cause of conductive hearing loss, and its presence my predispose to development of purulent otitis media. Removal of middle ear fluid may ...

journal_title：Postgraduate medicine

authors： Keim RJ

更新日期：1977-05-01 00:00:00

abstract：:An understanding of the causes and course of acute allergic contact dermatitis aids in recognition of this common problem. The most frequent cause is the Rhus group (poison ivy, oak, and sumac), and a large percentage of the US population is sensitized to this group of allergens. With severe cases, prompt administrati...

journal_title：Postgraduate medicine

authors： Wooldridge WE

更新日期：1990-03-01 00:00:00

abstract：:Overuse syndrome and peripheral nerve entrapment syndromes arise in work situations in which the body is stressed beyond its limits by cumulative, repetitive trauma. These syndromes arise in some nonwork situations as well. When such an injury occurs, prompt diagnosis, treatment, and retraining aid in returning the em...

journal_title：Postgraduate medicine

authors： Mandel S

更新日期：1987-11-01 00:00:00

abstract：:Asthma is treated by avoiding the precipitants of symptoms, by a trial of hyposensitization (immunotherapy) if the precipitant cannot be avoided, and principally by pharmacologic therapy. Acute attacks have been most widely treated with epinephrine, but adrenergic aerosol bronchodilators and aminophylline are being us...

journal_title：Postgraduate medicine

authors： Ellis EF

更新日期：1976-04-01 00:00:00

abstract：:In most cases, the cause of facial paralysis can be determined on the basis of the clinical evaluation, and expensive diagnostic tests can be avoided. Because Bell's palsy is not always the cause, physicians need to be able to identify critical findings on history and physical examination that indicate an alternative ...

journal_title：Postgraduate medicine

authors： Ruckenstein MJ

更新日期：1998-06-01 00:00:00

abstract：:Albuminuria has a strong, continuous, direct, linear relationship with adverse cardiovascular (CV) outcomes and chronic kidney disease progression. Even at levels below the accepted upper limit of what is considered "normal" daily albumin excretion (< 30 mg/24 h), a relationship between albumin excretion level and adv...

journal_title：Postgraduate medicine

authors： Bakris GL,Kuritzky L

更新日期：2009-07-01 00:00:00

abstract：:When ascites is the presenting symptom and the underlying disease is not apparent, the physician must be aware of the various diseases that may be associated with the accumulation of serous fluid in the abdominal cavity and the various approaches that are available to aid in the differential diagnosis. ...

journal_title：Postgraduate medicine

authors： Wortzel EM,Rogers AI

更新日期：1977-05-01 00:00:00

abstract：:Unresolved grief refers either to the absence or to the prolongation of normal grief. It is identified by (1) painful response to recall of the deceased, (2) realization of not having accepted the loss or of not being able to grieve, and (3) unaccountable depression, emergence of medical symptoms on the anniversary of...

journal_title：Postgraduate medicine

authors： DeVaul RA,Zisook S

更新日期：1976-05-01 00:00:00

abstract：:The important causes of hypoglycemia unrelated to known diabetes are relatively few. Postprandial hypoglycemia is a relatively benign disorder. Fasting hypoglycemia is more serious and may be caused by metabolic disturbances or tumors. Several hereditary disorders cause hypoglycemia in infants and must be diagnosed an...

journal_title：Postgraduate medicine

authors： Felicetta JV

更新日期：1990-07-01 00:00:00

abstract：:Performing office surgery well is an art. You can accomplish this by being attentive to several factors. These include, but are not limited to, providing an office environment that is pleasant, restful, and happy; using proper lighting, instruments, and suture techniques; using gentle techniques for local infiltration...

journal_title：Postgraduate medicine

authors： Clavin HD

更新日期：1983-08-01 00:00:00

abstract：:Atrial fibrillation (AF) is the most prevalent sustained cardiac arrhythmia, yet because AF can often be intermittent or lacking in overt symptoms, its prevalence is underestimated, and it may be diagnosed only incidentally. Because AF is a potent ischemic stroke risk factor and stroke rates are similar for paroxysmal...

journal_title：Postgraduate medicine

authors： Saliba W

更新日期：2011-03-01 00:00:00

abstract：:The prognosis for patients with obsessive-compulsive disorder has improved dramatically in recent years. Primary care physicians, who may be the first healthcare professionals to consult with these patients, can often provide appropriate treatment or therapeutic guidance. Psychiatric consultations and the implementati...

journal_title：Postgraduate medicine

authors： Khouzam HR

更新日期：1999-12-01 00:00:00

abstract：:Osteoblasts are mesenchymal cells that play a key role in maintaining bone homeostasis; they are responsible for the production of extracellular matrix proteins, regulation of matrix mineralization, control of bone remodeling and regulate osteoclast differentiation. Osteoblasts have an essential role in the pathogenes...

journal_title：Postgraduate medicine

authors： Corrado A,Sanpaolo ER,Di Bello S,Cantatore FP

更新日期：2017-11-01 00:00:00

abstract：:The incidence of nonmelanoma skin cancer is rapidly increasing. With early diagnosis and treatment, almost all basal cell and squamous cell carcinomas can be cured. Premalignant actinic keratoses are treated with cryosurgery; the CO2 laser is the treatment of choice for actinic cheilitis. Generally, nonmelanoma skin c...

journal_title：Postgraduate medicine

authors： Kibarian MA,Hruza GJ

更新日期：1995-12-01 00:00:00

abstract：:Preview Manifestations of thyroid dysfunction may be totally misleading in severely ill and elderly patients, often confounding clinical diagnosis. To prevent undue morbidity and mortality in these patients, appropriate selection and accurate interpretation of thyroid function tests are crucial. In this article, Dr Is...

journal_title：Postgraduate medicine

authors： Isley WL

更新日期：1993-09-01 00:00:00

abstract：:Increasing evidence has contraindicated extended radical dissection of pancreatic adenocarcinoma (PC). With the recent improvement of perioperative management techniques and multimodal treatment strategy for PC, concomitant major vessel resection and reconstruction has thus been aggressively attempted in association w...

journal_title：Postgraduate medicine

authors： Tsuchikawa T,Hirano S,Nakamura T,Okamura K,Tamoto E,Shichinohe T

更新日期：2015-04-01 00:00:00

abstract：:Most patients with community-acquired pneumonia are treated as outpatients, and choice of therapy is usually empirical because the etiologic agent is unknown. Therapy should include coverage for both typical and atypical organisms. In geographic areas with highly resistant S pneumoniae, one of the newer fluoroquinolon...

journal_title：Postgraduate medicine

authors： Farber MO

更新日期：1999-04-01 00:00:00

abstract：:Measurement of cerebrospinal fluid (CSF) lactate is a useful test when properly applied to the appropriate clinical situation and can offer information other CSF parameters cannot provide. Except for Gram's stain of CSF, lactate level is the most important CSF parameter in the early differentiation of viral (aseptic) ...

journal_title：Postgraduate medicine

authors： Bailey EM,Domenico P,Cunha BA

更新日期：1990-10-01 00:00:00

abstract：:Epileptiform seizures occurred in a 34-year-old woman who was receiving amitriptyline and lithium carbonate therapy for treatment of endogenous depression. While receiving amitriptyline maintenance therapy, she was given lithium on two separate occasions, and despite serum levels of lithium in the therapeutic range, g...

journal_title：Postgraduate medicine

authors： Solomon JG

更新日期：1979-09-01 00:00:00

abstract：:Vasculitis encompasses a wide variety of diseases. Because diagnosis may be difficult, a careful evaluation is essential, including a detailed patient history, thorough physical examination, and appropriate laboratory studies. Diagnosis is based on clinicopathologic features that permit identification of the condition...

journal_title：Postgraduate medicine

authors： Semble EL,Chmelewski WL,Pisko EJ

更新日期：1991-07-01 00:00:00

abstract：:Suicide is a major public health problem in the United States. Psychiatric disorders that feature or lead to suicidal ideation may be overlooked in the primary care setting because patients are reluctant to broach the subject. In this article, Dr Hamilton describes how physicians can open a dialogue with patients so t...

journal_title：Postgraduate medicine

authors： Hamilton NG

更新日期：2000-11-01 00:00:00

abstract：:Views and clinical practice on hormone replacement therapy (HRT) for postmenopausal women have varied widely over the last several decades. The 1990s showed a dramatic decline in prescribing and only recently are prescription rates increasing again. Use of HRT is first line for women suffering from the symptoms of men...

journal_title：Postgraduate medicine

authors： Beck KL,Anderson MC,Kirk JK

更新日期：2017-08-01 00:00:00

abstract：:Awareness of the age at which various pediatric hip disorders present and familiarity with their characteristics greatly aid in early detection. A properly performed physical examination is still the mainstay of early diagnosis. The earlier a hip disorder is discovered and treated, the less the chance of lasting harm ...

journal_title：Postgraduate medicine

authors： Gross RH

更新日期：1984-09-15 00:00:00

abstract：:Varicose veins are a common problem that still presents a major challenge to the physician and the patient. Complete surgical removal of the malfunctioning veins has proved to be the most effective management for significant varicosities, although several nonsurgical methods are available for mild cases or those not s...

journal_title：Postgraduate medicine

authors： Lofgren KA

更新日期：1979-06-01 00:00:00

abstract：:Urinary tract infection (UTI) is a common problem that is distressing for patients and costly for the healthcare system. UTIs commonly affect young, sexually active women; the elderly; and patients who have predisposing factors, such as catheterization. Recurrent infections are likely to occur in all these patients gr...

journal_title：Postgraduate medicine

authors： Colgan R,Hooton TM,Gupta K,Gomolin IH,Childs S,Gould M

更新日期：2000-12-01 00:00:00

abstract：:The cutaneous manifestations of systemic diseases are diverse. In some cases, they are the first signs of an underlying disorder, such as Cowden's disease, dermatomyositis, and Lyme disease. Sister Mary Joseph's nodule (metastatic involvement of the umbilicus) is an ominous sign of internal malignant disease. Drug-ind...

journal_title：Postgraduate medicine

authors： Holmes CE,Massa MC

更新日期：1994-12-01 00:00:00

abstract：:Motor fluctuations and dyskinesia often develop in patients with Parkinson's disease after 3 to 5 years of levodopa therapy. Dosage adjustments, addition of a second medication to the drug regimen, and dietary modifications may help maximize response to symptomatic therapy. Given the dramatic variability of symptoms a...

journal_title：Postgraduate medicine

authors： Silverstein PM

更新日期：1996-01-01 00:00:00

abstract：:Migraine is a common hereditary disorder manifested by episodic headache, irritability, and gastrointestinal upset. The condition may be triggered by dietary, environmental, psychological, or pharmacologic factors. With proper diagnosis and judicious use of abortive and prophylactic therapy, patients often obtain exce...

journal_title：Postgraduate medicine

authors： Diamond S,Freitag FG,Solomon GD,Millstein E

更新日期：1987-06-01 00:00:00

abstract：:Drug acquisition cost is an important component in the analysis of economic and clinical outcomes in the treatment of respiratory tract infections (RTIs). However, bacterial resistance has emerged as a crucial variable that must also be considered. Drug-resistant infections result in more expensive drug therapy, longe...

journal_title：Postgraduate medicine

authors： Rapp RP

更新日期：2002-09-01 00:00:00